<!DOCTYPE html>
<html lang="en">
<head>
    <link href="img/cart.png" rel="icon">
	<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
	<meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <meta author="" content="">
    <title>Edit Account</title>

    <link rel="stylesheet" type="text/css" href="css/bootstrap.css">
    <link rel="stylesheet" type="text/css" href="css/theme.css">
    <link rel="stylesheet" type="text/css" href="css/font-awesome.css">
    <link rel="stylesheet" type="text/css" href="css/animate-custom.css">
</head>


<body data-spy="scroll" data-offset="0" data-target="#navbar-main">

<!-- Bread Crumb -->



<div class="container account">
    <ol class="breadcrumb">
      <li><a href="index.html"><i class="fa fa-home"></i> Home</a></li>
      <li class=""><a href="account.php"> Account </a></li>
      <li class="active">Edit</li>
    </ol>

    <div class="row">
    <div id="content" class="col-sm-9">      <h1>My Account Information</h1>
      <form action="" method="post" enctype="multipart/form-data" class="form-horizontal">
        <fieldset>
          <legend>Your Personal Details</legend>
          <div class="form-group required">
            <label class="col-sm-2 control-label" for="input-firstname">First Name </label>
            <div class="col-sm-10">
              <input type="text" name="firstname" value="" placeholder="First Name" id="input-firstname" class="form-control">
                          </div>
          </div>
          <div class="form-group required">
            <label class="col-sm-2 control-label" for="input-lastname">Last Name</label>
            <div class="col-sm-10">
              <input type="text" name="lastname" value="" placeholder="Last Name" id="input-lastname" class="form-control">
                          </div>
          </div>
          <div class="form-group required">
            <label class="col-sm-2 control-label" for="input-email">E-Mail</label>
            <div class="col-sm-10">
              <input type="email" name="email" value="" placeholder="E-Mail" id="input-email" class="form-control">
                          </div>
          </div>
          <div class="form-group required">
            <label class="col-sm-2 control-label" for="input-telephone">Telephone</label>
            <div class="col-sm-10">
              <input type="tel" name="telephone" value="" placeholder="Telephone" id="input-telephone" class="form-control">
                          </div>
          </div>
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-fax">Fax</label>
            <div class="col-sm-10">
              <input type="text" name="fax" value="" placeholder="Fax" id="input-fax" class="form-control">
            </div>
          </div>
          <div class="form-group required">
            <label class="col-sm-2 control-label" for="input-password">Password</label>
            <div class="col-sm-10">
              <input type="password" name="password" value="" placeholder="Password" id="input-password" class="form-control">
            </div>
          </div>
        <div class="form-group required">
            <label class="col-sm-2 control-label" for="input-confirm">Password Confirm</label>
            <div class="col-sm-10">
              <input type="password" name="confirm" value="" placeholder="Password Confirm" id="input-confirm" class="form-control">
            </div>
          </div>
         </fieldset>
        <div class="buttons clearfix">
          <div class="pull-left">
            <input type=button value=Back class="btn btn-default" onclick=self.history.back()>
          </div>
          <div class="pull-right">
            <button name="submit" type="submit" value="Continue" class="btn btn-primary">
          </div>
        </div>
      </form>
      </div>
    </div>
</div>

</body>
</html>